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播散性枝顶孢感染一例马雷马牧羊犬。

Disseminated Scedosporium apiospermum infection in a Maremmano-Abruzzese sheepdog.

机构信息

Istituto Zooprofilattico Sperimentale dell'Abruzzo e Molise "G. Caporale", Campo Boario, 64100, Teramo, Italy.

Clinica Veterinaria Guardiese, Via Anello, 66016, Guardiagrele, Chieti, Italy.

出版信息

BMC Vet Res. 2020 Oct 2;16(1):372. doi: 10.1186/s12917-020-02597-9.

Abstract

BACKGROUND

Few cases of scedosporiosis have been reported in animals, but the true prevalence is probably underestimated due to a lack of awareness. Scedosporiosis in dogs has often been associated with localized infection (i.e., nasal infection, eumycetoma, or keratomycosis) or, in rare cases, disseminated infections.

CASE PRESENTATION

This case report describes the clinical and pathological features and the diagnostic process of a rare systemic and fatal fungal infection in a dog caused by Scedosporium apiospermum. A 10-month-old female Maremmano-Abruzzese sheepdog showing weakness, lethargy, lateral decubitus, miosis and muscular rigidity was presented. Rodenticide poisoning was clinically suspected for the differential diagnosis. However, postmortem examinations revealed the presence of a swollen and soft subcutaneous nodule located near the right inguinal breast, which was associated with massive enlargement of the inguinal lymph nodes and small disseminated, cream-colored nodules in the kidneys and mesentery. Multiple fungal pyogranulomas were observed upon histological examination. Fungal isolation from the kidneys, breast and inguinal lymph nodes was performed. The internal transcribed spacer (ITS) sequences from the fungal colony DNA were searched in BLAST in the NCBI GenBank for species identification. The sequences of the fungi isolated from the kidney and breast cultures showed 100% sequence identity with sequences from Scedosporium apiospermum.

CONCLUSIONS

This report shows that Scedosporium apiospermum may act as a primary pathogen in young and apparently healthy dogs and represents an important pathogen that should be considered during the diagnostic process, particularly when a fungal infection is suspected.

摘要

背景

在动物中已报道了少数几例串珠镰刀菌病病例,但由于缺乏认识,实际患病率可能被低估。犬的串珠镰刀菌病通常与局部感染(即鼻感染、真菌性肿疡或真菌性角膜炎)相关,或在极少数情况下与播散性感染相关。

病例介绍

本病例报告描述了一只罕见的系统性和致命性真菌感染犬的临床和病理学特征以及诊断过程,该犬由枝顶孢属(Scedosporium apiospermum)引起。一只 10 月龄雌性马雷马牧羊犬表现出虚弱、嗜睡、侧卧、瞳孔缩小和肌肉僵硬。为了鉴别诊断,临床上怀疑为鼠药中毒。然而,尸检发现右腹股沟乳房附近有一个肿胀柔软的皮下结节,伴有腹股沟淋巴结广泛肿大和肾脏及肠系膜上有多个奶油色小结节。组织学检查发现多个真菌性脓性肉芽肿。从肾脏、乳房和腹股沟淋巴结进行真菌分离。从肾脏和乳房培养物的真菌菌落 DNA 中提取内部转录间隔区(ITS)序列,并在 NCBI GenBank 的 BLAST 中进行物种鉴定。从肾脏和乳房培养物中分离出的真菌的序列与枝顶孢属的序列完全一致。

结论

本报告表明枝顶孢属可能是年轻且看似健康的犬的原发性病原体,是在诊断过程中应考虑的重要病原体,尤其是在怀疑真菌感染时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815d/7532623/9d63842eb1c3/12917_2020_2597_Fig1_HTML.jpg

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